Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC PR 00731 ANES UPPR GI NDSC PX NOS
$1,619
$1,263
—
0
clean
HC PR 00800 ANESTH ABDOMINAL WALL SURG
$1,295
$1,010
—
0
clean
HC PR 00811 ANES LWR INTST NDSC NOS
$1,295
$1,010
—
0
clean
HC PR 00812 ANES LWR INTST SCR COLSC
$972
$758
—
0
clean
HC PR 00813 ANES UPPR LWR GI NDSC PX
$1,916
$1,494
—
0
clean
HC PR 00840 ANESTH SURG LOWER ABDOMEN
$2,467
$1,924
—
0
clean
HC PR 00940 ANESTH VAGINAL PROCEDURES
$972
$758
—
0
clean
HC PR 01961 ANESTH CS DELIVERY
$2,266
$1,767
—
0
clean
HC PR 01967 ANESTH/ANALG VAG DELIVERY
$1,619
$1,263
—
0
clean
HC NFCT DS 22TRGT SARS-COV-2 BIOFIRE
$2,457
$1,916
—
0
clean
HC NFCT DS VIR RESP RNA 3 TRGT CEPHEID#
$176
$137
—
0
clean
HC IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS #
$176
$137
—
0
clean
HC IADNA CHLMYD&GONORR AMP PRB
$150
$117
—
0
clean
HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
$2,575
$2,009
—
0
clean
HC ED FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE CDM
$809
$631
—
0
clean
HC ED IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE CDM
$1,622
$1,265
—
0
clean
HC ED ACNE SURGERY CDM
$451
$352
—
0
clean
HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM
$294
$229
—
0
clean
HC ED DRAINAGE OF SKIN ABSCESS COMPLICATED OR MULTIPLE CDM
$418
$326
—
0
clean
HC ED DRAINAGE OF PILONIDAL CYST SIMPLE CDM
$294
$229
—
0
clean
HC ED DRAINAGE OF PILONIDAL CYST COMPLICATED CDM
$1,240
$967
—
0
clean
HC ED REMOVE FOREIGN BODY SIMPLE CDM
$552
$431
—
0
clean
HC ED REMOVE FOREIGN BODY COMPLICATED CDM
$1,240
$967
—
0
clean
HC ED DRAINAGE OF HEMA/FLUID CDM
$1,240
$967
—
0
clean
HC ED PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST CDM
$564
$440
—
0
clean
HC ED COMPLEX DRAINAGE WOUND - CMPLX CDM
$1,240
$967
—
0
clean
HC ED DEBRIDE INFECTED SKIN CDM
$552
$431
—
0
clean
HC ED DEBRIDE INFECTED SKIN ADD-ON CDM
$226
$176
—
0
clean
HC ED DEBRIDE SKIN AT FX SITE CDM
$711
$555
—
0
clean
HC ED DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC CDM
$1,622
$1,265
—
0
clean
HC ED DEB SKIN BONE AT FX SITE CDM
$3,041
$2,372
—
0
clean
HC ED DEB SUBQ TISSUE 20 SQ CM/< - DEBRIDE SKIN CDM
$552
$431
—
0
clean
HC ED DEB MUSC/FASCIA 20 SQ CM/< CDM
$552
$431
—
0
clean
HC ED DEB BONE 20 SQ CM/< CDM
$711
$555
—
0
clean
HC ED DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM CDM
$811
$633
—
0
clean
HC ED DEB MUSC/FASCIA ADD-ON CDM
$726
$566
—
0
clean
HC ED DEB BONE ADD-ON CDM
$113
$88
—
0
clean
HC ED PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1 CDM
$451
$352
—
0
clean
HC ED PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4 CDM
$451
$352
—
0
clean
HC ED PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4 CDM
$451
$352
—
0
clean
HC TANGENTIAL BIOPSY SKIN SINGLE LESION
$451
$352
—
0
clean
HC ED TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION CDM
$226
$176
—
0
clean
HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM
$1,104
$861
—
0
clean
HC ED PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION CDM
$276
$215
—
0
clean
HC ED INCISIONAL BIOPSY SKIN SINGLE LESION CDM
$1,452
$1,133
—
0
clean
HC ED INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION CDM
$726
$566
—
0
clean
HC ED REMOVAL OF SKIN TAGS CDM
$772
$602
—
0
clean
HC ED REMOVE SKIN TAGS ADD-ON CDM
$772
$602
—
0
clean
HC ED SHAVE SKIN LESION 0.5 CM OR LESS TRNK ARM LEG CDM
$933
$728
—
0
clean
HC PR 11301 SHVG SKIN LESION TRUNK/ARM/LEG DIAM 0.6-1.0 CM CDM
$208
$162
—
0
clean
HC ED SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/< CDM
$451
$352
—
0
clean
HC PR 11306 SHAVE SKIN LESION 0.6 TO 1.0 CM SCLP NK HND FT GEN
$199
$155
—
0
clean
HC ED SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM CDM
$451
$352
—
0
clean
HC PR 11310 SHVG SKIN LESION FC/ERS/EYLD/NS/LPS/MUC DIAM LTE 0.5 CM CDM
$191
$149
—
0
clean
HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< CDM
$1,622
$1,265
—
0
clean
HC ED EXC TR-EXT B9+MARG 0.6-1 CM CDM
$1,784
$1,392
—
0
clean
HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM CDM
$1,963
$1,531
—
0
clean
HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM CDM
$2,159
$1,684
—
0
clean
HC ED EXC TR-EXT B9+MARG 3.1-4 CM CDM
$2,375
$1,853
—
0
clean
HC ED EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM CDM
$2,612
$2,037
—
0
clean
HC ED EXC H-F-NK-SP B9+MARG 0.5 < CDM
$3,749
$2,924
—
0
clean
HC ED EXC H-F-NK-SP B9+MARG 0.6-1 CDM
$4,124
$3,217
—
0
clean
HC ED EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM CDM
$4,536
$3,538
—
0
clean
HC ED EXC H-F-NK-SP B9+MARG 2.1-3 CDM
$4,990
$3,892
—
0
clean
HC ED EXC H-F-NK-SP B9+MARG 3.1-4 CDM
$5,489
$4,281
—
0
clean
HC ED EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM CDM
$6,038
$4,710
—
0
clean
HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< CDM
$1,784
$1,392
—
0
clean
HC ED EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM CDM
$1,963
$1,531
—
0
clean
HC ED EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM CDM
$2,159
$1,684
—
0
clean
HC ED EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM CDM
$2,375
$1,853
—
0
clean
HC ED EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM CDM
$2,612
$2,037
—
0
clean
HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM CDM
$2,873
$2,241
—
0
clean
HC PR 11600 EXC TR-EXT MLG+MARG 0.5 < CM
$508
$396
—
0
clean
HC PR 11601 EXC TR-EXT MLG+MARG 0.6-1 CM
$615
$480
—
0
clean
HC PR 11602 EXC TR-EXT MLG+MARG 1.1-2 CM
$668
$521
—
0
clean
HC PR 11603 EXC TR-EXT MLG+MARG 2.1-3 CM
$800
$624
—
0
clean
HC PR 11604 EXC MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM CDM
$881
$687
—
0
clean
HC PR 11606 EXC MALIGNANT LESION TRUNK/ARM/LEG GT 4.0 CM CDM
$1,309
$1,021
—
0
clean
HC PR 11620 EXC MALIGNANT LESION SCLP/NK/HND/FT/GEN LTE 0.5 CM CDM
$511
$399
—
0
clean
HC ED EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM CDM
$1,622
$1,265
—
0
clean
HC PR 11622 EXC MALIGNANT LESION SCLP/NK/HND/FT/GEN 1.1-2.0 CM CDM
$701
$547
—
0
clean
HC PR 11623 EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM CDM
$868
$677
—
0
clean
HC PR 11624 EXC MALIGNANT LESION SCLP/NK/HND/FT/GEN 3.1-4.0 CM CDM
$984
$768
—
0
clean
HC PR 11626 EXC MALIGNANT LESION SCLP/NK/HND/FT/GEN GT 4.0 CM CDM
$1,207
$941
—
0
clean
HC PR 11640 EXC FACE-MM MALIG+MARG 0.5 <
$524
$409
—
0
clean
HC PR 11641 EXC FACE-MM MALIG+MARG 0.6-1
$645
$503
—
0
clean
HC PR 11642 EXC FACE-MM MALIG+MARG 1.1-2
$752
$587
—
0
clean
HC PR 11643 EXC FACE-MM MALIG+MARG 2.1-3
$939
$732
—
0
clean
HC PR 11644 EXC FACE-MM MALIG+MARG 3.1-4
$1,165
$909
—
0
clean
HC PR 11646 EXC FACE-MM MLG+MARG > 4 CM
$1,612
$1,257
—
0
clean
HC ED TRIMMING NONDYSTROPHIC NAILS ANY NUMBER CDM
$144
$112
—
0
clean
HC ED DEBRIDE NAIL 1-5 CDM
$294
$229
—
0
clean
HC ED DEBRIDE NAIL 6 OR MORE CDM
$294
$229
—
0
clean
HC ED REMOVAL OF NAIL PLATE CDM
$294
$229
—
0
clean
HC ED REMOVE NAIL PLATE ADD-ON CDM
$294
$229
—
0
clean
HC ED DRAIN BLOOD FROM UNDER NAIL CDM
$294
$229
—
0
clean
HC ED REMOVAL OF NAIL BED CDM
$711
$555
—
0
clean
HC PR 11755 BIOPSY NAIL UNIT
$250
$195
—
0
clean
HC ED REPAIR OF NAIL BED CDM
$294
$229
—
0
clean
HC ED RECONSTRUCTION OF NAIL BED W/GRAFT CDM
$4,315
$3,366
—
0
clean
HC ED EXCISION OF NAIL FOLD TOE CDM
$294
$229
—
0
clean
HC ED EXCISION PILONIDAL CYST/SINUS SIMPLE CDM
$6,458
$5,037
—
0
clean
HC ED REM PILONIDAL CYST EXTENSIVE CDM
$6,458
$5,037
—
0
clean
HC ED EXCISION PILONIDAL CYST/SINUS COMPLICATED CDM
$6,458
$5,037
—
0
clean
HC ED INJECTION INTRALESIONAL UP TO AND INCLUD 7 LESIONS CDM
$451
$352
—
0
clean
HC ED REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT CDM
$7,427
$5,793
—
0
clean
HC PR 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT CDM
$260
$203
—
0
clean
HC ED REMOVE DRUG IMPLANT DEVICE CDM
$944
$736
—
0
clean
HC PR 11983 RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT CDM
$429
$335
—
0
clean
HC ED REPAIR SUPERFICL WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM
$294
$229
—
0
clean
HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK EXTR HN CDM
$323
$252
—
0
clean
HC ED SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM CDM
$356
$278
—
0
clean
HC ED REPAIR SPRFCL WOUND(S)12.6 TO 20.0CM SLP NK AX EXGEN TRNK EXTR H CDM
$391
$305
—
0
clean
HC ED REPAIR SPRFCL WOUND(S) 20.1-30.0CM SLP NK AX EXGEN TRNK EXTR HND CDM
$430
$335
—
0
clean
HC ED REPAIR SUPERFICIAL WOUND(S)>30CM SLP NK AX EXGEN TRNK EXTR HND FT CDM
$473
$369
—
0
clean
HC ED REPAIR SUPERFICIAL WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC CDM
$294
$229
—
0
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 2.6-5.0CM FACE ERS EYLD NSE LPS MUC CDM
$323
$252
—
0
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 5.1-7.5CM FACE ERS EYLD NSE LPS MUC CDM
$356
$278
—
0
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 7.6-12.5CM FACE ERS EYLD NSE LPS MUC CDM
$391
$305
—
0
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 12.6-20.0CM FACE ERS EYLD NSE LPS MUC CDM
$430
$335
—
0
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 20.1-30.0CM FACE ERS EYLD NSE LPS MUC CDM
$473
$369
—
0
clean
HC ED REPAIR SUPERFICIAL WOUND(S) > 30.0 CM FACE ERS EYLD NSE LPS MUC CDM
$552
$431
—
0
clean
HC ED CLOSURE OF SPLIT WOUND SIMPLE CLOSURE CDM
$711
$555
—
0
clean
HC ED CLOSURE OF SPLIT WOUND W/PACKNG CDM
$552
$431
—
0
clean
HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM
$552
$431
—
0
clean
HC ED INTMD WND REPAIR S/TR/EXT 2.6 TO 7.5CM CDM
$607
$473
—
0
clean
HC ED INTMD WND REPAIR S/TR/EXT 7.6 TO 12.5CM CDM
$668
$521
—
0
clean
HC ED INTMD WND REPAIR S/TR/EXT 12.6 TO 20.0CM CDM
$735
$573
—
0
clean
HC ED INTMD WND REPAIR S/TR/EXT 20.1 TO 30.0CM CDM
$808
$630
—
0
clean
HC ED INTMD WND REPAIR S/TR/EXT > 30 CM. CDM
$889
$693
—
0
clean
HC ED INTMD WND REPAIR N-HF/GENIT UP TO 2.5CM CDM
$294
$229
—
0
clean
HC ED INTMD WND REPAIR N-HG/GENIT 2.6 TO 7.5CM CDM
$552
$431
—
0
clean
HC ED INTMD WND REPAIR N-HG/GENIT 7.6 TO 12.5CM CDM
$675
$527
—
0
clean
HC ED INTMD WND REPAIR N-HG/GENIT 12.6 TO 20.0CM CDM
$743
$580
—
0
clean
HC ED INTMD WND REPAIR N-HG/GENIT 20.1-30.0CM CDM
$817
$637
—
0
clean
HC ED INTMD WND REPAIR N-HG/GENIT >30.0CM CDM
$2,103
$1,640
—
0
clean
HC ED INTMD WND REPAIR FACE/MM <2.5 CM CDM
$552
$431
—
0
clean
HC ED INTMD WND REPAIR FACE/MM 2.6 TO 5.0CM CDM
$675
$527
—
0
clean
HC ED INTMD WND REPAIR FACE/MM 5.1 TO 7.5CM CDM
$743
$580
—
0
clean
HC ED INTMD WND REPAIR FACE/MM 7.5 TO 12.5CM CDM
$817
$637
—
0
clean
HC ED INTMD WND REPAIR FACE/MM 12.6 TO 20.0CM CDM
$899
$701
—
0
clean
HC ED INTMD WND REPAIR FACE/MM 20.1 TO 30.0CM CDM
$989
$771
—
0
clean
HC ED INTMD WND REPAIR FACE/MM >30CM CDM
$1,087
$848
—
0
clean
HC ED REPAIR OF WOUND OR LESION 1.1 TO 2.5CM COMPLEX, TRUNK CDM
$711
$555
—
0
clean
HC ED REPAIR OF WOUND OR LESION 2.6 TO 7.5CM COMPLEX, TRUNK CDM
$782
$610
—
0
clean
HC ED REPAIR WOUND/LESION ADD-ON EA ADD 5CM COMPLEX, TRUNK CDM
$552
$431
—
0
clean
HC ED REPAIR OF WOUND OR LESION 1.1 TO 2.5CM COMPLEX, SCLP ARM LEG CDM
$552
$431
—
0
clean
HC ED REPAIR OF WOUND OR LESION 2.6 TO 7.5CM COMPLEX, SCLP ARM LEG CDM
$607
$473
—
0
clean
HC ED REPAIR WOUND/LESION ADD-ON 5CM OR LESS COMPLEX, SCLP ARM LEG CDM
$294
$229
—
0
clean
HC ED REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM CDM
$552
$431
—
0
clean
HC ED REPAIR OF WOUND/LESION 2.6-7.5CM CMPLX, FRHD CKS SHN MTH NK AX CDM
$711
$555
—
0
clean
HC ED REPAIR WND/LESION ADD-ON 5CM CMPLX FRHD CKS SHN MTH NK AX GEN HND CDM
$552
$431
—
0
clean
HC ED REPAIR OF WOUND OR LESION 1.1 TO 2.5CM CMPLX EYLD NS ERS LIP CDM
$711
$555
—
0
clean
HC ED REPAIR OF WOUND OR LESION 2.6 TO 7.5CM CMPLX EYLD NS ERS LIP CDM
$782
$610
—
0
clean
HC ED REPAIR WOUND/LESION ADD-ON 5CM CMPLX EYLD NS ERS LIP CDM
$552
$431
—
0
clean
HC ED LATE CLOSURE OF WOUND EXTENSIVE OR COMPLICATED CDM
$4,315
$3,366
—
0
clean
HC ED ADJ TISS TRS S/A/L DEF 10SQCM< CDM
$4,315
$3,366
—
0
clean
HC ED ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/< CDM
$4,962
$3,870
—
0
clean
HC ED SKIN TISSUE REARRANGEMENT 10.1 SQ CM TO 30.0 SQ CM FRHD CK CDM
$4,962
$3,870
—
0
clean
HC ED SKIN TISSUE REARRANGEMENT 10 SQ CM OR LESS EYLDS NS ERS LIP CDM
$4,962
$3,870
—
0
clean
HC ED ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM CDM
$4,962
$3,870
—
0
clean
HC ED ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM CDM
$9,353
$7,295
—
0
clean
HC ED ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM CDM
$4,676
$3,647
—
0
clean
HC ED FILLETED FINGER/TOE FLAP CDM
$4,315
$3,366
—
0
clean
HC ED PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT CDM
$4,962
$3,870
—
0
clean
HC ED PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT CDM
$2,481
$1,935
—
0
clean
HC ED PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT CDM
$1,670
$1,303
—
0
clean
HC ED PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT CDM
$835
$651
—
0
clean
HC ED SKIN PINCH GRAFT 2 CM DIAMETER CDM
$1,452
$1,133
—
0
clean
HC ED SKN SPLT A-GRFT FAC/NCK/HF/G 1ST 100 SQ CM CDM
$9,353
$7,295
—
0
clean
HC ED SKIN FULL GRFT FACE/GENIT/HF 20 SQ CM OR LESS CDM
$4,962
$3,870
—
0
clean
HC ED SKIN FULL GRAFT EEN & LIPS 20 SQ CM OR LESS CDM
$4,962
$3,870
—
0
clean
HC ED APL SKIN SUB HI TAL 1ST 25CM CDM
$4,962
$3,870
—
0
clean
HC ED APL SKIN SUB HI TAL PED ADL100 CDM
$4,962
$3,870
—
0
clean
HC ED PEDICLE FLAP EL NOSE EAR LIPS CDM
$4,962
$3,870
—
0
clean
HC ED FOREHEAD FLAP W VASC PEDICLE CDM
$9,353
$7,295
—
0
clean
HC ED MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR CDM
$9,353
$7,295
—
0
clean
HC ED COMPOSITE SKIN GRAFT EAR NASAL ALA CDM
$4,962
$3,870
—
0
clean
HC ED DERMA-FAT-FASCIA GRAFT CDM
$9,353
$7,295
—
0
clean
HC ED EXCISE EXCESSIVE SKN TISS OTHR CDM
$7,427
$5,793
—
0
clean
HC ED REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA CDM
$4,315
$3,366
—
0
clean
HC ED DRESSING CHANGE UNDER ANESTHESIA CDM
$1,452
$1,133
—
0
clean
HC ED REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA CDM
$2,157
$1,682
—
0
clean
HC ED REMOVAL SUTURES&STAPLES NOT REQUIRING ANESTHESIA CDM
$2,157
$1,682
—
0
clean
HC ED INITIAL TREATMENT OF BURN(S) 1ST DEG LOCAL TX CDM
$294
$229
—
0
clean
HC ED DRESS/DEBRID P-THICK BURN S <5% TBSA CDM
$629
$491
—
0
clean
HC ED DRESS/DEBRID P-THICK BURN M 5-10% TBSA CDM
$692
$540
—
0
clean
HC ED DRESS/DEBRID P-THICK BURN L >10% TBSA CDM
$933
$728
—
0
clean
HC ED INCISION OF BURN SCAB INITI CDM
$933
$728
—
0
clean
HC ED ESCHAROTOMY ADDL INCISION CDM
$466
$363
—
0
clean
HC ED DESTRUCT PREMALG LESION FIRST LESION CDM
$451
$352
—
0
clean
HC PR 17003 DESTRUCTION PREMALIGNANT LESION 2-14 EA CDM
$10
$8
—
0
clean
HC PR 17004 DESTRUCTION PREMALIGNANT LESION 15/> CDM
$412
$321
—
0
clean
HC ED DESTRUCTION OF SKIN LESIONS LESS THAN 10 SQ CM CDM
$933
$728
—
0
clean
HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM
$451
$352
—
0
clean
HC PR 17111 DESTRUCTION BENIGN LESIONS 15/> CDM
$343
$268
—
0
clean
HC ED CHEMICAL CAUTERY TISSUE CDM
$451
$352
—
0
clean
HC ED PUNCTURE ASPIRATION CYST BREAST CDM
$1,622
$1,265
—
0
clean
HC ED INCISION OF BREAST LESION CDM
$3,749
$2,924
—
0
clean
HC ED REMOVAL OF BREAST IMPLANT CDM
$9,884
$7,710
—
0
clean
Showing the first 200 of 3,390 code–setting items in the file, verified codes first —
every row as JSON →
Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
2,667 of 2,667 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 84181/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86631/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2290/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11406/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31502/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88364/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1822/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4117/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86632/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99222/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11420/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84202/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88365/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4118/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86635/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99223/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1830/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11421/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31511/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51102/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82040/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88377/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27230/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86638/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99231/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1831/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4125/b
info
mrf_item_fields_vary
this code and setting cover at least 23 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11422/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51700/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82042/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 88381/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2359/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86644/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99232/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1874/b
info
mrf_item_fields_vary
this code and setting cover at least 94 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4126/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11423/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31525/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51701/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82043/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86645/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99233/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1875/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2404/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4128/b
info
mrf_item_fields_vary
this code and setting cover at least 60 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11424/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 21315/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 89051/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84270/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99234/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1876/b
info
mrf_item_fields_vary
this code and setting cover at least 125 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4130/b
info
mrf_item_fields_vary
this code and setting cover at least 42 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11426/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 21320/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82103/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 89060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99235/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1877/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4132/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11440/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27252/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 51798/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86658/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99236/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1878/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2540/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4133/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11441/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 21337/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82105/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84305/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31603/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99238/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1880/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4134/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11442/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84311/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27265/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31605/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82131/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86665/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90375/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99239/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1881/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4137/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11443/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27266/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84392/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99281/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1882/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2690/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4139/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11444/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86671/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82150/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84402/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90471/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99282/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1883/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4148/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11446/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 21450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86677/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82157/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84403/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90472/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99283/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1884/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4150/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86682/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90480/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99284/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1885/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4151/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 21480/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2790/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82175/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84432/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99285/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1886/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4154/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2792/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27500/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86694/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99291/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1887/b
info
mrf_item_fields_vary
this code and setting cover at least 300 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84436/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2795/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11621/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 22310/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86695/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99292/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1888/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27502/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 54150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82247/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84439/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4158/b
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86696/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 1006 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2865/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 32554/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82248/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84443/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27508/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86698/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4160/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1892/b
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2919/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4166/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27510/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86704/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90670/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1893/b
info
mrf_item_fields_vary
this code and setting cover at least 46 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2997/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23500/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4171/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 84460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86705/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90671/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 338 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 54700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82300/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4186/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86706/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90675/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1895/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J3030/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11719/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 55100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82306/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4187/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86708/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 90677/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1896/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 99385/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT Q4195/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 23525/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 27550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 86710/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C1897/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item